Membership

Join our network of local health plans to further the health and wellness of your community

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How To

Become a Member

Join an exclusive network of local health plans on a mission to advance accessible, locally-driven health coverage.

Criteria for membership
The Alliance is built on the principle that we learn best from organizations like us—those operating in similar lines of business, relying on comparable vendors, and facing shared challenges. To be eligible to apply for membership, your organization must meet the following criteria:

  • Fewer than 4 million at-risk lives.
  • No proprietary access to scaling or shared infrastructure resources that could create competitive disadvantages for other members.
  • The licensed entity or parent organization must be not-for-profit. The specific corporate structure (e.g., 501(c)(3), mutual) does not matter. Exceptions may be made for for-profit entities that meet the above at-risk lives and scaling requirements and do not directly compete with existing member organizations.
  • Physician-owned, hospital-owned, city- or county-owned, or independent community-owned organizations.
  • Focused on state, local, or hyperlocal markets.
  • Membership is contingent on the entity’s ability to fully and openly participate in Alliance activities. Entities subject to public reporting requirements that limit their ability to contribute meaningfully will not be considered. Member entities owned by organizations with publicly shared stock may be considered, provided the member entity is a non-material part of the enterprise and not subject to public reporting limitations.

We carefully manage competitive dynamics to maintain the open learning environment that defines the Alliance. Where competition exists, we employ cohorts or other safeguards to ensure all members can participate in the trust-based collaboration.

Membership is extended at a pace that allows the Alliance to uphold its collaborative values and safeguard the open sharing of ideas and best practices.

Annual dues
Your annual dues are based on your health plan's covered lives, providing a fair and scalable structure that ensures access for organizations of all sizes. These dues grant everyone in your organization full access to the resources, tools, and collaborative opportunities available through the Alliance network. From educational programs to peer group discussions and best practice sharing, your membership ensures your entire team benefits from the collective knowledge and expertise of the Alliance community.

The only additional out-of-pocket expenses are travel and lodging costs for attending in-person meetings, allowing you to participate fully in these valuable networking and learning opportunities.

Keeping dues low and affordable is a core priority for the Alliance. Additionally, the Alliance Board of Directors may approve an annual distribution to partners and shareholders, underscoring our commitment to delivering value back to our members.

Become a shareholder
Alliance shareholders play a vital role in shaping the organization’s direction and priorities. With a one-time capital contribution, you’ll gain a voting seat on the Alliance Board of Directors and become eligible for an annual shareholder distribution, which directly reduces your annual membership dues.

This model ensures that shareholder contributions are reinvested in the Alliance’s mission while providing financial returns. Becoming a shareholder is an opportunity to deepen your engagement and influence within the Alliance community.

custom quotation image The Health Plan Alliance is an invaluable resource to a provider-sponsored health plan such as CCHP. Unlike any other industry group, where you just pay your dues to get in; HPA’s selective membership criteria really fosters a different type of engagement. Likeminded health plans are free to collaborate/commiserate, and create strategies to help their own organizations remain competitive in and increasingly complicated environment. custom quotation image

Larry Loo profile image

Larry Loo
CEO at CCHP

custom quotation image Membership in the Health Plan Alliance offers a remarkable opportunity to be part of a nationwide network of health plans, hospitals, and physicians working together to enhance our ability to deliver high-quality care and improve health outcomes. Engaging with HPA gives us access to resources and helps our employees connect with peers nationwide. Together, we can leverage the collective strength of the HPA to strengthen our plans, and enhance patient care. custom quotation image

Teresa Chapman profile image

Teresa Chapman
Chief People Officer at Santa Clara Family Health Plan

custom quotation image We’re a small organization both geographically, as well as in numbers. Over the years that we’ve been a part of the Alliance, we’re able to reach out the Alliance staff and we’re always able to find answers or solutions from other health plans’ experiences. What we experience on a very micro geographical level, the Alliance experiences at a national level and brings that to bear back on our particular situation where we happen to be - in north Georgia. custom quotation image

Mark Mixer profile image

Mark Mixer
CEO at Alliant Health Plans

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Who Are Our Members


The Alliance is comprised of the nation’s leading provider-sponsored health plans. We have leaders in 10 of the top 20 U.S. markets and cover underserved rural areas. We range in size, from less than 50,000 members to more than 1 million members, and operate in all lines of business. While we all have various business models, we are all regional health plans with strong provider ties.




Members by State (Click on a state to see the members located there)

Members


Shareholder

Partner

Membership

Governance

At the core of the Alliance, our governance structure is designed to encourage and value the active participation of every member in shaping our shared direction. By working together, we ensure that the Alliance operates smoothly and effectively, always striving to provide programs and services that genuinely meet the needs and goals of our members.

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Board of Directors

The Board includes representatives from each shareholder organization, along with an outside board member, a medical director representative, and committee chairs. Together, they shape the Alliance’s strategic direction and oversee key governance areas, including the strategic plan, budget, program strategy, membership policies, and staff succession planning.

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Executive Committee

Composed of the Chair and Vice Chair of the Board of Directors and the chairs of the committees, it provides leadership for the Board of Directors. This group is responsible for shaping the Alliance’s strategic direction, setting and monitoring goals, approving the budget, ensuring financial and operational oversight, and overseeing staff performance and hiring.

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Membership Committee

Supports member engagement, retention, and recruitment by monitoring needs, evaluating potential members, and recommending membership decisions to the Board. It also helps onboard new members, conducts exit interviews, and ensures the Alliance remains relevant and valuable to its members. Additionally, the committee oversees policies and goals that guide the organization’s membership strategy.

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Programs & Partnerships Committee

Ensures Alliance programs and services meet member needs and support their strategic priorities. The committee provides oversight for programming, sponsorship activities, vendor relationships, knowledge sharing, and communication strategies to help members achieve their goals.

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Clinical Excellence Committee

Focuses on advancing members' highest-priority clinical performance improvement opportunities. It drives quality-driven, cost-effective initiatives that enhance the member experience and supports the organization’s clinical program goals to ensure meaningful impact and value for members.

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Finance Committee

Oversees the organization’s financial health and strategy. Its responsibilities include monitoring the investment position and policy, evaluating the performance of investment advisors, reviewing the budget, financial statements, and forecasts, and providing recommendations for annual shareholder and member distributions. The committee also reviews auditor reports, oversees business partnerships and vendor relationships, and ensures alignment with the organization’s financial goals.